The nose appears as the center of symmetry of the facial region and forms the focal point of the human face. We can say that a whole facial expression is perceived according to the nose, which provides its visual symmetry. At the same time, the respiratory functions that ensure the healthy functioning of the body system are provided by the nose to a significant extent. In this respect, the nose is a very important organ in terms of both our appearance and our basic vital activities, and all aspects of nasal procedures should be planned and applied meticulously.
Deformities that exist in the nose area or occur for some reasons bring along aesthetic concerns that cause nasal aesthetic surgeries. In fact, the fact that the aesthetic appearance of the nose area is not the desired quality due to the most striking and proportional position of the face is the main reason for aesthetic nose surgeries. Aesthetic concerns usually bring deformities in the nose, and deformities do not appear independently of functional disorders. In this respect, the ideal nose we want to see in the mirror should form a functional integrity when considering the anatomical structure and the visual ratio of the face.
With aesthetic surgeries, the size of the nose can be reduced, the shape of the tip of the nose can be changed, and the angle between the upper lip and the nose can be changed. At the same time, desired changes can be made regarding the shape and size of the nostrils. In other words, congenital defects can be corrected through aesthetic surgeries, nasal injuries that occur later can be treated, and respiratory problems can be eliminated in this direction.
In general, the techniques applied in rhinoplasty are divided into two as open technique and closed technique.
One of the two basic surgical methods applied in aesthetic nose surgeries is the closed technique. We can list the procedures performed in closed technique rhinoplasty operations as follows:
Another method applied in rhinoplasty is open technique rhinoplasty. The procedures applied in open technique rhinoplasty surgery can be listed as follows:
In open technique rhinoplasty, the primary procedure is to create an incision in the lower part between the nostrils.
After the incision made between the holes in the lower part of the nose, the bone and cartilage skeleton, which is the source of the deformity in the nose, can be reached and necessary corrections can be performed.
In open technique nose operations, the experience and meticulous workmanship of the doctor constitutes a very important point.
Through the incision made under the nose between the holes, the nasal skeleton and nasal skin are clearly visible.
Through the small incision created in the part between the nostrils, the inside of the nose can be observed by the surgeon with a wider angle of view. This provides a lot of convenience to the surgeon during the operation.
Open technique nose surgeries are more preferred in patients with advanced deformity in the nose area or with a history of aesthetic operations called secondary surgery.
In open technique rhinoplasty, a wider field of view is technically provided to the surgeon, and this allows for a healthier observation of the deformity sources in the inner part of the nose, thus enabling more accurate techniques to be applied. The incision, which is applied with the open technique, allows the areas that require intervention in the nose to be seen more clearly and therefore easier to access and treat with more accurate techniques.
As a negative point of these operations applied with open technique, edema occurs in line with the incision made at the tip of the nose. The recovery period of the bruises that will occur in this direction will also be relatively long. However, it would be useful to emphasize the importance of a healthy and qualified outcome as well as a long recovery period.
In aesthetic nose surgeries, there are fundamental differences in application techniques and advantages between open and closed technical surgical operations as the two basic methods applied.
Since the incisions are made inside the nostrils in closed technique rhinoplasty, there is no possibility of suture scarring. In open technique nose operations, since the incision is made from the lower part between the nostrils, edema occurs at the tip of the nose and bruises occur. However, there is no trace left after this application.
The operation time of closed technique nose operations is shorter than open technique applications. In addition, in closed technique nose surgeries, the patient's recovery time is shorter and the nose descends earlier and heals faster. In open technique surgeries, the recovery period is longer than in closed technique applications.
In closed technique applications, incisions made through the nostrils do not provide a wide field of view for the surgeon, which makes it difficult to intervene correctly and effectively in intranasal deformities. In open technique nose surgeries, the incision made under the nose makes it possible to see the bone and cartilage of the nose more clearly and therefore to treat it more effectively.
In aesthetic nose surgeries, it should be acted on which application will give healthier and permanent results, and all evaluations should be carried out meticulously in this direction.
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